Individual provider · Type 1 NPI

Lacey Nicole Tolliver, CPSS, CSA

Peer Specialist · Somerset, KY

NPI number 1669286910 Active

Practice location

80 Highway 2227
Somerset, KY 42503-1562

Mailing address

233 Parkers Mill Way
Somerset, KY 42503-4152

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker 172V00000XNone listed
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1669286910

Lacey Nicole Tolliver, CPSS, CSA's National Provider Identifier is 1669286910, issued on Feb 6, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Somerset, KY. The record was last updated on Oct 8, 2025.